Program Objectives

PGY-1

By the end of the Urology 1 year, the resident will be able to:

• Conduct proficient preoperative evaluations of surgical patients.
• Provide perioperative care for general, vascular, trauma and minimally invasive surgery patients, including fluid and electrolyte management.
• Refine evaluation and management skills of patients of all ages and genders.
• Master techniques of line placement and evaluation of invasive monitoring of critically ill patients.
• Assist or perform surgical procedures in general, vascular, trauma and minimally invasive surgery; develop surgical skills in minor procedures, and opening and closing surgical wounds.
• Initiate personal surgical log of cases.
• Will work effectively with support personnel in pre-operative, operative, and post-operative settings.
• Document clear and succinct medical records, including daily progress notes, operative, records, clinic records, consults, etc. Sign all documents in a timely fashion. Keep dictations limited to pertinent information and do so within time restraints mandated by TAMC policy.

PGY-2

By the end of the Urology 2 year the resident will be able to

• Demonstrate knowledge of fundamental principles of urologic disease and pathophysiology through didactic lectures, conferences and urology curriculum for study and in-service exam.
• Provide pre-and postoperative care for urology patients with emphasis on open, endoscopic and laparoscopic surgery.
• Care for inpatients and outpatients a Kaiser Moanalua Medical center under supervision of attending staff.
• Perform cystoscopy, bladder biopsies, and ureteral catheter insertion with supervision of attending staff and senior residents.
• Perform basic office based procedures, including flexible cystoscopy, transrectal ultrasonography and prostate biopsies, and vasectomies.
• Perform basic pediatric urology cases, including orchidopexy, circumcision/revision, hydrocelectomy, and chordee repair.
• Demonstrate knowledge of basic laparoscopic and endoscopic skills.
• Increase surgical technical expertise in scrotal surgery and minor urologic surgery.
• Continue to improve skills in urologic and general trauma care.
• Evaluate fund of basic urology knowledge through the In-Service Exam with expected performance above the 50th percentile.
• Identify a clinical/basic science research project.
• Continue to work effectively with support personnel.
• Attend Fundamentals in Urology Course.
• Present and discuss cases at Kaiser Urology Conference.

PGY-3

By the end of the Urology 3 year the resident will be able to

• Perform more complex lower tract endoscopic procedures, such as TUR biopsies of the bladder and prostate.
• Perform ureteroscopy, percutaneous nephrolithotomy, endopylotomy, and laser lithotripsy.
• Provide junior resident care on pediatric urology service and expand surgical focus to include hypospadias repair.
• Gain experience in female urology and surgery to correct urinary incontinence, vaginal reconstruction.
• Expand involvement in major open urologic oncology and reconstruction cases.
• Expand clinical/basic science research to result in peer-reviewed publication or chapter.
• Plan research project for Urology 3 year.
• Submit abstract to regional meeting (Western Section or Kimbrough).
• Evaluate progress of urologic knowledge through In-Service Examination with expected performance above the 50th percentile nationally.
• Present and discuss cases at Urology Pre-op Conference and GU RADS.
• Work effectively with support personnel, including administrative aspects.
• Care for inpatients and outpatients and assist in major oncology cases at MSKCC.

PGY-4

By the end of the Urology 4 year the resident will be able to

• Interpret, initiate, and complete a clinical or basic research project in urology, either based on laboratory research or health-related outcomes research with a scientific mentor in urology or other Tripler Army Medical Center researcher with special expertise.
• Comprehend basic principles of study design and biostatistics through initiation of basic and/or clinical research.
• Obtain greater in-depth knowledge of urologic diseases with study of multiple texts, journals, and articles, such as Campbell’s and Gillenwater Textbooks, Journal of Urology, Urology Clinics of North America, or Seminars in Urologic Oncology.
• Submit abstract to national meetings (i.e. AUA).
• Submit manuscript for publication in at least one major urologic journal.
• Expand surgical experience and advance to primary surgeon for major open urologic procedures.
• Expand robotic surgical experience and perform some robotic tests such as mobilizing the bladder and bedside laparoscopic assistance.
• Gain experience in complex reconstructive surgery.
• Perform more advanced pediatric surgery – ureteral re-implantation, pyeloplasty, partial nephrectomy, etc.
• Evaluate knowledge base by In-Service Exam with expected performance about 50th percentile nationally..
• Present and discuss cases at MSKCC Urologic Oncology Grand Rounds.
• Increase complex oncology surgical skill completing the fellow rotation at MSKCC.

PGY-5 (Chief Resident Year)

By the end of the Chief Resident year the resident will be able to

• Master sophisticated aspects of urologic disease physiology, diagnosis, and decision making in preparation for the qualifying exam (Part 1) of the Urology Boards.
• Develop resident call schedule.
• Supervise medical student teaching on urology service.
• Supervise inpatient care as chief of service with delegation of responsibilities to junior residents as appropriate.
• Submit at least one abstract for a national meeting.
• Expand knowledge of evolving information and procedures in Urology by attendance at the American Urologic Association Meeting.
• Refine surgical skills in most complex cases with a particular emphasis on oncology and pediatrics (including radical prostatectomy, cystectomy with diversion, partial nephrectomy, reconstructive pediatrics, complex hypospadias repair, pyeloplasty, etc.
• Refine robotic surgery skills with particular emphasis on pyeloplasty, partial nephrectomy, and radical prostatectomy.
• Present and discuss cases at Urology Grand Rounds.
• Work effectively in clinical care and administration with support personnel, colleagues and students.
• Increase complex oncology surgical skill completing the fellow rotation at MSKCC.
• Work effectively in clinical care and administration with support personnel, colleagues and students.